| NPI | 1962169334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021843) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 817406) |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2024-08-06 |